Provider Demographics
NPI:1457166704
Name:SANTOS, SHEREEN LAVENDER (MA, BCN, LPC-C)
Entity type:Individual
Prefix:
First Name:SHEREEN
Middle Name:LAVENDER
Last Name:SANTOS
Suffix:
Gender:F
Credentials:MA, BCN, LPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 E 81ST ST STE 5100
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-4289
Mailing Address - Country:US
Mailing Address - Phone:918-747-7400
Mailing Address - Fax:
Practice Address - Street 1:2448 E 81ST ST STE 5100
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4289
Practice Address - Country:US
Practice Address - Phone:918-747-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPCCANDIDATE12604101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health